Testosterone pellet implant, 75 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TESTOSTERONE 75 MG IMPLANT PELLET

Payers reporting HCPCS S0189

Payer pricing summary

Low

Average

$877

Median

$537

High

$3.0k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +14 other terms	163	$203	$352	$239	68%	—	$86 – $917
2	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	134	$240	$281	$193	69%	—	$1 – $720
3	Aetna fee schedule · outpatient · +19 other terms	95	$209	$226	$140	62%	—	$86 – $1.1k
4	Humana fee schedule · outpatient · +13 other terms	70	$378	$529	$321	61%	—	$101 – $936
5	Anthem fee schedule · outpatient · +13 other terms	32	$116	$176	$78	44%	—	$105 – $497
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$454	$412	$137	33%	—	$169 – $713
7	UnitedHealthcare fee schedule · outpatient · +17 other terms	29	$143	$168	$83	50%	—	$103 – $353
8	Caresource facility · case rate · outpatient · +3 other terms	15	$48	$52	$12	23%	—	$32 – $82
9	Molina facility · case rate · outpatient · +10 other terms	15	$47	$52	$12	23%	—	$33 – $80
10	Wellmark fee schedule · both · +6 other terms	13	$108	$108	—	—	—	$108 – $108
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$119	$116	$32	27%	—	$62 – $148
12	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$107	$107	$1	1%	—	$105 – $108
13	Bcbs Nc fee schedule · both · +1 other terms	11	$165	$165	—	—	—	$165 – $165
14	Optum facility · case rate · outpatient · +7 other terms	11	$45	$49	$11	22%	—	$40 – $73
15	Highmark fee schedule · outpatient · +9 other terms	10	$118	$118	—	—	—	$118 – $118
16	Medica fee schedule · outpatient · +6 other terms	10	$213	$215	$54	25%	—	$129 – $275
17	Ucare fee schedule · both · +4 other terms	9	$87	$87	$2	3%	—	$85 – $90
18	Bcbs La fee schedule · outpatient · +1 other terms	8	$117	$117	—	—	—	$117 – $117
19	WellCare professional · fee schedule · both · +4 other terms	8	$0	$0	—	—	—	$0 – $0
20	Aetna Better Health fee schedule · inpatient · +4 other terms	7	$104	$104	—	—	—	$104 – $104
21	Bcbs Il professional · fee schedule · both · +2 other terms	7	$0	$0	—	—	—	$0 – $0
22	First Health professional · fee schedule · both · +12 other terms	5	$0	$0	—	—	—	$0 – $0
23	Medicare facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$51	$53	$4	7%	—	$51 – $60
24	Ambetter professional · fee schedule · both · +4 other terms	4	$0	$0	—	—	—	$0 – $0
25	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$125	$125	—	—	—	$125 – $125

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